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Cancer and Care of the Dying Child

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NCLEX Nursing (Pediatrics) Quiz on Cancer and Care of the Dying Child, created by Olivia McRitchie on 08/11/2019.
Olivia McRitchie
Quiz by Olivia McRitchie, updated more than 1 year ago
Olivia McRitchie
Created by Olivia McRitchie about 5 years ago
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Resource summary

Question 1

Question
Cancer is the #1 disease-related cause of death in infants, children, and adolescents.
Answer
  • True
  • False

Question 2

Question
What cooperative group coordinates pediatric cancer treatment plans?
Answer
  • Children's Oncology Group
  • Children's Hospital of Philadelphia
  • American Pediatric Cancer Association
  • Mayo Clinic

Question 3

Question
What facts about acute lymphoblastic leukemia can you give to the parents of a child diagnosed with it?
Answer
  • "This cancer is the most common cancer of children; it accounts for 3/4 of childhood leukemia cases."
  • "All pediatric age groups have the same amount of risk for getting leukemia."
  • "The five-year survival rate for a standard-risk child is 90%."
  • "The five-year survival rate for a standard-risk child 64%."
  • "It is more common in children with chromosomal disorders."

Question 4

Question
You have delivered teaching to the parents of a child with acute myelogenous leukemia. Which of the following statements shows that more teaching is needed?
Answer
  • "This type of leukemia is not as common; it represents 17% of all childhood leukemia."
  • "It has a higher rate in the first 2 years of life."
  • "It has a 5-year survival rate of 64%."
  • "It has a sharp peak in ages 2-3 years."

Question 5

Question
What are the known risk factors for acute myelogenous leukemia?
Answer
  • Ionizing radiation in utereo
  • Constitutional genetic disorders, such as trisomy 21
  • Prenatal environmental factors, such solvents and pesticides.
  • Accelerated fetal growth
  • Low birth weight

Question 6

Question
Which of the following is accelerated fetal growth/high birth weight not associated with?
Answer
  • Acute lymphoid leukemia
  • CNS tumors
  • Wilms tumor (kidney tumor)
  • Non-Hodgkins lymphoma
  • Embryonal rhabdomyosarcoma
  • Acute myeloid leukemia

Question 7

Question
Parents with a child newly diagnosed with leukemia asks you what treatment may consist of. Which of the following shows the BEST teaching?
Answer
  • "You have a few options: chemo, surgery, radiation, biotherapy, and a stem cell transplant. Your oncologist will discuss with you what option, or combination of options, is best."
  • "There is not a great deal of options available, aside from chemtotherapy and radiation."
  • "Ask your oncologist what your child's treatment consists of."
  • "For leukemia, your only option is likely stem cell transplantation."

Question 8

Question
Which of the following is UNTRUE about neuroblastomas?
Answer
  • They're usually stage IV when diagnosed.
  • The 5-year survival rate is 79%.
  • It arises from the adrenal gland or sympathetic ganglia.
  • Most of these types of tumors secrete catecholamines.

Question 9

Question
Which of the following is NOT a symptom of a neuroblastoma?
Answer
  • Lump in the abdomen
  • Lump in the chest
  • Bone pain
  • Bruising around the eyes
  • Petechiae

Question 10

Question
Which of the following is not true about Wilm's Tumor?
Answer
  • It's a rare kidney cancer that primarily affects children.
  • 1-2% is familial and associated with a gene on chromosome 11.
  • It's most common between age 3-4
  • Overall 5-year survival rate is at 90%
  • The best way to assess for the tumor is palpation.

Question 11

Question
What stage of the grieving process is this patient in? "I still don't understand how my child could have cancer."
Answer
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance

Question 12

Question
What stage of the grieving process is this patient in? "I am so pissed at myself for getting an X-ray while I was pregnant. Why did I have to break my arm?"
Answer
  • Denial
  • Anger
  • Bargianing
  • Depression
  • Acceptance

Question 13

Question
What stage of the grieving process is this patient in? "I promised God that if he brought my son through this, I would dedicate my entire life to praising him."
Answer
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance

Question 14

Question
What stage of the grieving process is this patient in? "I don't think I can live the rest of my life without my baby."
Answer
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance

Question 15

Question
What stage of the grieving process is this patient in? "My son is with the Lord now."
Answer
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance

Question 16

Question
Which of the following does not influence a child's ability to cope with loss?
Answer
  • The caregiver's ability to communicate and provide emotional support.
  • Support from peers and others.
  • Prior experience with loss.
  • Religious and cultural belief system.
  • Socioeconomic level.

Question 17

Question
What would you expect to see and hear when performing a physical assessment of a dying child?
Answer
  • Cool, clammy skin
  • Skin is cyanotic and mottling
  • Death rattle
  • Moaning/grunting with breathing
  • Shivering
  • Dyspnea.

Question 18

Question
What findings would you expect to see when performing a neurological assessment on a child that is dying?
Answer
  • Agitation or restlessness
  • Deterioration of hearing and vision
  • Decreasing level of consciousness, ending in loss of consciousness.
  • Brief burst of energy right before death.
  • Auditory and/or visual hallucinations

Question 19

Question
What musculoskeletal, urinary, and bowel findings would you expect to find when assessing a child who is dying?
Answer
  • Extreme weakness
  • Inability to speak or swallow, leading to decreased fluid intake and/or anorexia
  • Decreased urine output
  • Bladder/bowel incontinence
  • Hypotonia or hypertonia
  • Twitching of fingers and/or toes

Question 20

Question
Which of the following vital sign findings would you expect to see in a child that is dying?
Answer
  • Tachypnea
  • Bradypnea
  • Tachycardia
  • Hypotension
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